Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $346.74 / $7,943.28 / $24,547.09	Facility		$346.74	$7,943.28	$24,547.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $141.25 / $218.78	Professional		$120.23	$141.25	$218.78
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,318.26 / $5,011.87 / $13,489.63	Facility		$1,318.26	$5,011.87	$13,489.63
BCBS Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $173.78 / $269.15	Professional		$117.49	$173.78	$269.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $371.54 / $616.60	Facility		$34.67	$371.54	$616.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $186.21 / $389.05	Professional		$131.83	$186.21	$389.05
Medcost Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $218.78 / $257.04	Professional		$218.78	$218.78	$257.04
Medcost Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $177.83 / $281.84	Facility		$128.82	$177.83	$281.84
Medcost Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $154.88 / $154.88	Professional		$154.88	$154.88	$154.88
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $32.36 / $33.11	Professional		$32.36	$32.36	$33.11
United Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $1,148.15 / $2,951.21	Facility		$100.00	$1,148.15	$2,951.21
United Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $147.91 / $269.15	Professional		$109.65	$147.91	$269.15